HL7 Terminology
1.0.0 - Publication

This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Benefit Type Codes - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "benefit-type",
  "meta" : {
    "lastUpdated" : "2020-04-09T17:10:28.568-04:00",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/shareablecodesystem"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n            \n      <h2>Benefit Type Codes</h2>\n            \n      <div>\n              \n        <p>This value set includes a smattering of Benefit type codes.</p>\n\n            \n      </div>\n            \n      <p>\n              \n        <b>Copyright Statement:</b> This is an example set.\n            \n      </p>\n            \n      <p>This code system http://terminology.hl7.org/CodeSystem/benefit-type defines the following codes:</p>\n            \n      <table class=\"codes\">\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">\n                  \n            <b>Code</b>\n                \n          </td>\n                \n          <td>\n                  \n            <b>Display</b>\n                \n          </td>\n                \n          <td>\n                  \n            <b>Definition</b>\n                \n          </td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">benefit\n                  \n            <a name=\"benefit-type-benefit\"> </a>\n                \n          </td>\n                \n          <td>Benefit</td>\n                \n          <td>Maximum benefit allowable.</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">deductible\n                  \n            <a name=\"benefit-type-deductible\"> </a>\n                \n          </td>\n                \n          <td>Deductible</td>\n                \n          <td>Cost to be incurred before benefits are applied</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">visit\n                  \n            <a name=\"benefit-type-visit\"> </a>\n                \n          </td>\n                \n          <td>Visit</td>\n                \n          <td>Service visit</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">room\n                  \n            <a name=\"benefit-type-room\"> </a>\n                \n          </td>\n                \n          <td>Room</td>\n                \n          <td>Type of room</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">copay\n                  \n            <a name=\"benefit-type-copay\"> </a>\n                \n          </td>\n                \n          <td>Copayment per service</td>\n                \n          <td>Copayment per service</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">copay-percent\n                  \n            <a name=\"benefit-type-copay-percent\"> </a>\n                \n          </td>\n                \n          <td>Copayment Percent per service</td>\n                \n          <td>Copayment percentage per service</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">copay-maximum\n                  \n            <a name=\"benefit-type-copay-maximum\"> </a>\n                \n          </td>\n                \n          <td>Copayment maximum per service</td>\n                \n          <td>Copayment maximum per service</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">vision-exam\n                  \n            <a name=\"benefit-type-vision-exam\"> </a>\n                \n          </td>\n                \n          <td>Vision Exam</td>\n                \n          <td>Vision Exam</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">vision-glasses\n                  \n            <a name=\"benefit-type-vision-glasses\"> </a>\n                \n          </td>\n                \n          <td>Vision Glasses</td>\n                \n          <td>Frames and lenses</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">vision-contacts\n                  \n            <a name=\"benefit-type-vision-contacts\"> </a>\n                \n          </td>\n                \n          <td>Vision Contacts Coverage</td>\n                \n          <td>Contact Lenses</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">medical-primarycare\n                  \n            <a name=\"benefit-type-medical-primarycare\"> </a>\n                \n          </td>\n                \n          <td>Medical Primary Health Coverage</td>\n                \n          <td>Medical Primary Health Coverage</td>\n              \n        </tr>\n              \n        <tr>\n                \n          <td style=\"white-space:nowrap\">pharmacy-dispense\n                  \n            <a name=\"benefit-type-pharmacy-dispense\"> </a>\n                \n          </td>\n                \n          <td>Pharmacy Dispense Coverage</td>\n                \n          <td>Pharmacy Dispense Coverage</td>\n              \n        </tr>\n            \n      </table>\n          \n    </div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "draft"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    }
  ],
  "url" : "http://terminology.hl7.org/CodeSystem/benefit-type",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.1.1176"
    }
  ],
  "version" : "4.2.0",
  "name" : "BenefitTypeCodes",
  "title" : "Benefit Type Codes",
  "status" : "draft",
  "experimental" : false,
  "date" : "2020-05-09T12:49:00-04:00",
  "publisher" : "Financial Management",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "description" : "This value set includes a smattering of Benefit type codes.",
  "copyright" : "This is an example set.",
  "caseSensitive" : true,
  "valueSet" : "http://terminology.hl7.org/ValueSet/benefit-type",
  "content" : "complete",
  "concept" : [
    {
      "code" : "benefit",
      "display" : "Benefit",
      "definition" : "Maximum benefit allowable."
    },
    {
      "code" : "deductible",
      "display" : "Deductible",
      "definition" : "Cost to be incurred before benefits are applied"
    },
    {
      "code" : "visit",
      "display" : "Visit",
      "definition" : "Service visit"
    },
    {
      "code" : "room",
      "display" : "Room",
      "definition" : "Type of room"
    },
    {
      "code" : "copay",
      "display" : "Copayment per service",
      "definition" : "Copayment per service"
    },
    {
      "code" : "copay-percent",
      "display" : "Copayment Percent per service",
      "definition" : "Copayment percentage per service"
    },
    {
      "code" : "copay-maximum",
      "display" : "Copayment maximum per service",
      "definition" : "Copayment maximum per service"
    },
    {
      "code" : "vision-exam",
      "display" : "Vision Exam",
      "definition" : "Vision Exam"
    },
    {
      "code" : "vision-glasses",
      "display" : "Vision Glasses",
      "definition" : "Frames and lenses"
    },
    {
      "code" : "vision-contacts",
      "display" : "Vision Contacts Coverage",
      "definition" : "Contact Lenses"
    },
    {
      "code" : "medical-primarycare",
      "display" : "Medical Primary Health Coverage",
      "definition" : "Medical Primary Health Coverage"
    },
    {
      "code" : "pharmacy-dispense",
      "display" : "Pharmacy Dispense Coverage",
      "definition" : "Pharmacy Dispense Coverage"
    }
  ]
}